Individual
NICOLE DENISE CLEVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2755 E DESERT INN RD STE 240, LAS VEGAS, NV 89121-3610
(725) 240-7591
Mailing address
4131 MARK TWAIN CT, LAS VEGAS, NV 89115-8233
(725) 204-7591
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
60898-AO-0
NV
246ZE0500X
EEG Specialist/Technologist
02218
NV
3747P1801X
Personal Care Attendant
0020102218EAWHC
NV
Other
Enumeration date
07/21/2021
Last updated
07/22/2021
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